Healthcare Provider Details

I. General information

NPI: 1427854223
Provider Name (Legal Business Name): 520 BRADBURN ROAD OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2025
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 BRADBURN RD
GRAND SALINE TX
75140-2015
US

IV. Provider business mailing address

520 BRADBURN RD
GRAND SALINE TX
75140-2015
US

V. Phone/Fax

Practice location:
  • Phone: 903-962-4234
  • Fax: 903-962-3517
Mailing address:
  • Phone: 903-962-4234
  • Fax: 903-962-3517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: NATHAN FREUND
Title or Position: CEO
Credential:
Phone: 732-719-5098